| NPI | 1649819905 |
|---|---|
| Former Name | HALEY JO LUTTEKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SD 719) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SD 719-SLP) |
| Enumeration Date | 2020-01-03 |
| Last Update Date | 2024-06-03 |